I had a RNY in 2006. I was 283 pounds on the day of surgery and I lost 35 pounds- 10 the first week and 25 over the next few months. I'm now pushing 400 pounds. While my pouch is still small, my stoma has stretched and I have to eat every 3 1/2 hours. I get reactive hypoglycemia and some serious dumping, and every day is a struggle to keep things stable. After researching and talking with some bariatric doctors, it sounds like a revision to a ds may help me a lot.
I have Kaiser insurance. I have been jumping through their hoops to see a bariatric surgeon to ask for a referral to an outside doctor who would do a revision and I got to meet with that surgeon (Kaiser) today. He was very frank (which I appreciated) and told me that Kaiser has never referred someone out for a revision, and he was very much opposed to the idea of a duodenal switch. OK, I hear yoru concerns and I'm glad you voiced them. But he went on to tell me that my lack of weight loss and regain was all behavioral. Um, I was eating 600 calories right after surgery and not losing weight- that's behavioral??? He said that my pouch was doing its job because I fill up quickly. When I said that I also empty quickly, he said that just because I was hungry did not mean that I needed to eat.
OMG- then why have any bariatric surgery? Isn't the whole point to help you keep from getting so hungry? If I'm not eating even though I'm hungry, well, isn't that just a diet? I need the assistance of the "tool" that bariatric surgery provides. If that procedure leaves me hungrier than ever in the end, I don't consider that a success.
He said repeatedly that my pouch was doing its job beacuse I fill up quickly and that my lack of weight loss is behavioral. I will own that I gained weight because of what I'm eating now, but I will not accept that my inability to lose weight eating 600 calories a day was my fault. It felt like the old- I can blame you for anything because you're fat. I realize that I'm just whining here, but I really feel like I've been kicked. Trying to stay positive, but I'm tired of a lifetime of being kicked because I am fat.
I'm going to go through the appeals process and I told him so. He then informed me that he is the person on the regional level who makes the decision to refer someone outside of Kaiser and that they have never sent someone outside for a revision (lovely). He would not even entertain the idea of reducing my stoma to give me a fighting chance. My pouch is doing its job and my weight gain is strictly behavioral.